Question:
How long does it take for approval????? aetna pos
How long does it take for approval once paperwork is submitted? I have Open Choice II POS, and need to know what anyone else's experience on how long it took. PLEASE HELP!!!1 — sdbass (posted on May 12, 2005)
May 12, 2005
I was approved in 12 days. I didn't have to deal with Aetna at all, but I
called almost every day to see if they reached a decision, lol. Hope you
get approved!!!
— dreamy6501
May 12, 2005
I was approved last week after waiting 4 long weeks. The patient advocate
in the surgeons office did the work. They requested additional information
to prove that I have been obese for 5 years. My doctors record didn't have
wts because I often refused. I got old surgery reports and they accepted
that. I had 3 MD visits 3 months in a row, dietician consultations,
exercise program in place with receipts, sleep study, psychologist eval.
My BMI of 46 and health problems wouldn't do it alone. I had to meet the
requirements. Best of luck!
— kathy R.
May 14, 2005
Aetna or not, every policy is different. The key is not to give up. Even if
they say no at first, appeal it!! It took me 9 months and several denials
before I got approved. It can be an emotional roller coaster at times. I
was approved 2 days ago and am glad that I didn't give up. Hang in there. I
hope you get a quick answer.
— Susan A.
May 17, 2005
I am covered under Aetna with a similar policy. The hardest part of
getting an approval from them is the 6 months of supervised weight loss.
They denied me several times until I was able to finally produce 6 months
of documented weights from my primary physician. If you haven's started
having your doctor document your weights....do it now! Good news is that
they will accept any documented weight from any physician including ob/gyn.
My 6 documented weights came from different doctors (and they dont have to
be consecutive) Don't give up...it will happen. Good Luck.
— eboss517
May 31, 2005
I have Aenta POS also and on may 16 my dr faxed everything over to them and
just 2 hours later I was approved.... just make sure you have everything
they want, I had to have a psyc eval, 3 month documented diet, proof of
obesity for at lease 5 years, and that was it. But Good luck
— Jennifer G.
Click Here to Return